患者,男,42岁。因枪伤致右股部损伤1小时急诊入院。检查:右股下侧约有12cm×14cm软组织缺损区,股内侧肌、缝匠肌以及股薄肌等肌肉毁损性部分缺损,股动、静脉断裂,缺损8cm。创面有较多坏死组织,局部污染较重。膝关节、股直肌、股外侧及股后损伤较轻,骨未见明显损伤,坐骨神经、腓总与胫后神经无明显损伤,小腿内侧及足内侧隐神经分布区 Patient, male, 42 years old. Injury caused by gunshot wound 1 hour emergency admission. Check: the right side of the right side of the lower side of about 12cm × 14cm soft tissue defect area, the medial femoris muscle, sartorius and gracilis Muscle and other damaged parts of muscle damage, femoral vein rupture, defect 8cm. There are more necrotic tissue wounds, local pollution heavier. The knee joint, rectus femoris muscle, lateral femoral and posterior posterior lesion were mild, no obvious injury to the bone, no obvious damage to the sciatic nerve, peroneal and posterior tibial nerve, the distribution of saphenous nerve inside the medial and medial leg